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MID MICHIGAN PEDIATRIC CARDIOLOGY PC NPI 1841463577


NPI Information

NPI: 1841463577
Provider Name: MID MICHIGAN PEDIATRIC CARDIOLOGY, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
900 COOPER AVE
SUITE #4200
SAGINAW, MI
ZIP 48602
Phone: (989) 752-8669
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MID MICHIGAN PEDIATRIC CARDIOLOGY, PC is a specialist in Saginaw, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID MICHIGAN PEDIATRIC CARDIOLOGY, PC NPI is 1841463577. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 COOPER AVE
SUITE #4200
SAGINAW, MI
ZIP 48602-182
Phone: (989) 752-8669
Fax: (989) 752-4844

The provider's authorized official is Sally A Leclair .
The authorized official title is Office Coordinator and has the following contact phone number (989) 752-8669.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 6/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist4301063051MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13507344422OTHERMICHIGANBLUE CARE NETWORK
23507344422OTHERMICHIGANBCBS OF MICHIGAN
34180201MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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